Active NPI
Catherine M. Tsarouhas
Doing business as Medford Assoc. in Mental Health
- Clinical Social Worker
- Medford, MA
National Provider Identifier
1295923605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1017992
- Legal business name
- CATHERINE M. TSAROUHAS
- Doing business as
- Medford Assoc. in Mental Health
- Practice address
- Zero Govenors Ave
#20
Medford, MA 02155 - Phone
- (781) 396-5575
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine M Tsarouhas, LICSW
- Title
- Director
- Phone
- (781) 396-5575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1017992 | MA | Primary |
Addresses
Primary practice location
Zero Govenors Ave
#20
Medford, MA 02155
Mailing address
PO Box 791
Medford, MA 02155
Phone (781) 396-5575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891529 | Medicaid | MA | |
| P10196 | Other | MA | BCBS MA |
Other names 1
- Medford Assoc. in Mental Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Medford, MA
- NPI 1336274653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1295923605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "781-396-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ZERO GOVENORS AVE",
"address_2": "#20",
"city": "MEDFORD",
"state": "MA",
"postal_code": "02155",
"telephone_number": "781-396-5575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHERINE M. TSAROUHAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "TSAROUHAS",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "781-396-5575",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1017992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891529",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "P10196",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medford Assoc. in Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.